Page 16 challenged, he could not specifically reply why he did not check out the heart beat or the radial pulse himself when there was no apparent response to two doses of cardiac drugs given intravenously. Dr. Gale had no clear explanation for his failure to recognise the idiosyncratic rhythm that was displayed on the ECG monitor and proceeded to agree with the giving of cardiac defibrillation shocks in the absence of other signs of life. Another very important issue raised by Dr. Gale was that he arrived at the bedside of the patient 1 too late to be of any great assistance. He contended that the recorded time of 12.20 hrs of his arrival at the bedside was wrong and in fact he arrived there at approximately 12.35 hrs instead. However, there were repeated charted statements that the time of his arrival was 12.20 hrs in many of the reports by almost all those present at the time of the resuscitation. In crossexamination, the prosecutor pointed out that this time of arrival did not become an issue to Dr. Gale until a short period before he was to give evidence at the hearing. Dr. Gale explained that the reports which he had written himself stating the time of 12.20 were wrong because he had copied the time from the nurses' report and had continued to reproduce this time until he realised the significance of this fact a few weeks before he gave evidence. In his defence, Dr. Gale later introduced evidence that he was attending to another patient, Patient 8, who had been anaesthetised by Dr. B and had just undergone nerve blocks. He explained that Dr. B had left patient 8 in his care when Dr. B went to assist at the resuscitation. He suggested that he had to remain at the bedside attending to the needs of patient 8 whom he said was still heavily sedated and had a low blood pressure. Dr. Gale attempted to treat this by ordering a bolus of fluid 5% dextrose ; intravenously. He explained that this caused him to arrive at the resuscitation at 12.35 hrs., instead of the 12.20 hrs. It should be noted that patient 8 was in the same recovery room as patient 1 and Dr. Gale was therefore probably no more than 15 feet from the bedside of patient 1 while he was attending to patient 8 Dr. Dionne, in her reply evidence on this point, testified that the time of Dr. Gale's arrival at the resuscitation as between 12: 20 or approximately 12: 35 did not really matter to her opinion since there was at least 15 minutes left before the cardiac massage was begun. She further pointed out that the 5% dextrose was not the fluid used to increase the blood pressure of any patient and that patient 8's blood pressure was not that low to require any emergency action by Dr. Gale. She.

It's easy to see that the overall orientation of the medical community is much more reactive than it is proactive.

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